Janna Lyn Doherty, MD | |
1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 | |
(831) 479-4966 | |
(831) 479-4967 |
Full Name | Janna Lyn Doherty |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1779 Dominican Way, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790898823 | NPI | - | NPPES |
GR0098130 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A64380 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Janna Lyn Doherty, MD 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 Ph: (831) 479-4966 | Janna Lyn Doherty, MD 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 Ph: (831) 479-4966 |
Stuart Allen Mumm, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 | |
Mr. Henry Milton Pearce, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Mooee St., Santa Cruz, CA 95060 Phone: 831-429-5441 | |
Dr. Lindsay Mitchell Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 100 Doyle St, Suite E, Santa Cruz, CA 95062 Phone: 831-458-0901 Fax: 831-458-0659 | |
Karen L Wang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065 Phone: 831-465-5440 Fax: 831-462-2017 | |
Dr. Michelle Marie Sablan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste 1, Santa Cruz, CA 95065 Phone: 831-465-5440 Fax: 831-462-2017 | |
Martina Nicholson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 | |
Larisa Taylor, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065 Phone: 831-476-7676 Fax: 831-476-4824 |